Take completed form to the OWL CARD Center  at the Student Union, Room 128.  Questions?  Call ext 7-2700.

Date:                Requisition #   
Department Name:      Index/Fund/Org :  
Building:   Room#:   Ext:

Contact Person:     ___________________________________________
                                                                   Requisition Approval Signature

LIST THE ASSIGNED NUMBER OF THE COPY CARD TO BE RECHARGED.  WRITE "NEW" FOR NEW COPY CARDS.

CARD NUMBER OR NEW          AMOUNT TO ENCODE

                                               TOTAL: